Loading...
HomeMy WebLinkAbout071-050-086A.P 71 05- ERAN.K -..T UN:�'R----------------- -------- 71-OS-86. -_..- y ROY ALSTON ' Tamarack.,Rd. , .4 mi. off Lampkin,,, Tamarack Rd.-. Feather FAlls Feather Falls G� ��� AFIRE REPORT _ Permit 1062-74P, (Util. o MH),. �Ce/ .Q 8�l69GeP AP 71-05` ,10. �. Roy Alston CONTR Ed' Krause 'Pei WE,'-#2293-75E .(change existing u disconnect to e�ajher. proof disconnect) AP 71-05 10 �. _ Roy. Alston%a� ,-CONTR•: - Ed 'Krause; Orovilld Permit'3504-77E� _ (well';pump/MH) - 71-05-86 Contr: Oro Pump & Electric�i�) Permit#456-85E(replace damaged pole),-. 1. ' a �� l 1� I r CD I L!7 14 :i r � Permit#456 -85g - - Roy Alston -1 Tamarack Rd, Feather Fal] 1 kA ( S s 3 w 1 _ t ' OFFICE i .. COPY. ' Address GAS" '• ' Meter By I ELE Date P Date �l COUNTY OF BUTTE - DEPAf4TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 i APPLICAIKON AND PERMIT ASSESSOR PARCEL NUMBER �. 1 ZONING BUILDING PERMIT OWNER / 1 TELEPHONE !) /l SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS + ,' CONTRACTOR'S NAME f Ir I r 1 TELEPHONE - ' I CONTRACTOR'S MAILING, A DDRESS I . '; / ' i / r, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS I } PLUMBING PERMIT Filing Fee 10.00 I rl r 1 1 Each Trap 2.00 Solar Water Heater 20.00 ' r Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF 0 Duplex❑ Mobilehome❑ Other I SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: r' — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1011 OR LESS 100 AMP OR LESS 10.00 r. ' f Main service EA. ADD -L 100 AMP 2.50 NEW CONST.(DWELLING OCCUR.& OR ADDNS. ACC. BLDGS. 1 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. I Classification . ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW NON•CONSTRESID. SINGLE OUTLET R ( POWER APPARATUS .&) &) 20@50e OR FIXTURES BAL030 Ex. Occup(o XED A FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring r 15.00 r` Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X / '�" , Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ r 00 OCCuP. GROUP I TYPE OF CONST. F PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIG1111i'AI&I PERMIT PERMIT NO ASSES R PARCEj��N=MBAR SSjUj ZONING BUILDING PERMIT OWNER TEjj�F-j� HON PEo SQ. FT. OCC. BUILDING VALUATION OWNER' M ILINGDRESS I�p rA .t fin CON ACTO 'S METELEPHONE e17 JIM q- a 1 CO RACTOR'S MAI ING ESS Fireplace CONST CTION ENDr1=R UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER Vt LICENSE NO. Plan Checking Fee Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS OPLUMBING ` PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 r Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF='fl Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S1 GJWJ 10.00 e TYPE OF WORK New ❑ Addition R Imodel ❑ ti lities ❑ I stall io EJOT Describe work: R��� �- 1 l ✓ L" 'i a P_ Lei ire Ct r�til i� C� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 /01 00 _ Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. 2t/ZQsgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business nd Professions Code and my license is in full force and effect. License No. ii Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET NO N.RESID BRANCH CIRCUITS) 2.50 ea NEW CONST(POWER APPARATUS &\ NON- R RESID. SINGLE OUTLET CIR. Ex. Occu 20@50a P�o TS OR FIXTURES BAL@3O FIXXEEDD APPLNS. OR I Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring U, Gla, - 15.00 16 00 Permit Fee $ 06 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. [o I have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I' lities, 'udgments, costs, and expenses which may in any way accrue Inst ai o ty in consequence of the granting of this permit. �� rj �� Date _ Signature of Applicant Owner Contractor E]Agent El An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ��© occuP. GROUP I TYPE OF CONST. I PARCEL PD HD 11 -SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC3TW P BLIC BY PEVI Tli PIRES Clate the applicable provi- resolutions to do fees have been paid. WORKS Da to Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i- owl o T/�5ie— F-.oV4 ..S 2- i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 5344541 r - APPLICATION AND PERMIT autnonze representatives or the county or ttutte to enter upon the above-mentioned property for inspection purposes. r ♦' � l i X tl fir. Date f Signature of Permitee or Agent Receipt No. This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By r . White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date Date ' - - BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor t , , ; `:' Total Valuation - � � � �' Mailing Address Permit Fee Plan Checking Fee&/or Penalty C_ Telephone No. Permit Fee $ Building Address �r; 4'f + I'' ` PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ) Each Trap 1.50 ' Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 • r A. P. No. / L_ �� ' /L. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd I I Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 j •+ r, 1 jJ�(} Main service 100 AMP OR00V OR LE LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER soov 25.00 100 AMP OR LESS Single Family,Q- Duplex ❑ Mobil Home 0 Others ❑ Main service// EA. ADD•L 100 AMP 1.00 NEW OR ADDNST t ACCLBLDGS.LING CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON•RESI D. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 17141- fn 1-.r IA 11 y ';-'r r1 .. * F —`-- '-• Ex. Occup(OUTLETS OR FIXTURES)@� BAL@1 FIXED APP LNS, OR h Ex. Occup.(OUTLETS (RESID,) EA) 2.00 �e' Temporary service 10.00 Mobile Home Facilities 15.00 License No. 4k fr -74 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,� $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 0 I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ autnonze representatives or the county or ttutte to enter upon the above-mentioned property for inspection purposes. r ♦' � l i X tl fir. Date f Signature of Permitee or Agent Receipt No. This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By r . White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date Date ' - - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541y�'77 APPLICATION AND PERMIT / dutnunze representatives of the County of tsutte to enter upon the above-mentioned property for inspection purposes. XDate ignature o Feermitee or Agent Receipt No. 16 / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. f_ ^-� DARE T OF PUBLIC WORKS n By LJ' �� Date 2:1 , —99 -5WM_,jnq permit expires Date—7-- J2—,9K BUILDING Owner nq SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor s Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty V Telephone o. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �! Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. —C7 — (l Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. n ire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 jCo 1J00V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD -L too AMP 2.50 Single Family Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING O OR ADDNST ( ACCLBLDGS,CCUP. &) 22 sq ft NEW CONSTR. MULTI -OUTLET NON-RESID, ( BRANCH CIRCUITS)2.50ea NEW CONSTR. /POWER APPARATUS & NON-RESID. (POWER OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: itiDtaA�w �l �I\_ 3� I. -Q Ex. Occup(OUTLETS OR FIXTURES)@L�6 BAL@1 S. OR ) I� Ex. Occup. (OUTLETS OUTLETTSS (R(RESID,) EA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification G l Q Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3,00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ QZ dutnunze representatives of the County of tsutte to enter upon the above-mentioned property for inspection purposes. XDate ignature o Feermitee or Agent Receipt No. 16 / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. f_ ^-� DARE T OF PUBLIC WORKS n By LJ' �� Date 2:1 , —99 -5WM_,jnq permit expires Date—7-- J2—,9K ?0 41P A qV- Ixt ERMIT NO. Temp. Power Pole P Temp. Elec. Serv. Ito. Called PG&E E tj Called PG&E I Oe M FOB NALED— (Da (Signature) H UTIL., 1 062-74P,E ?ERMIT NO. T PERMIT EXPIRES -76- WNER-�— Frank Bunker yI 'ONTR. Owner -OCATION (A:P. 71-05-10 tamarack Rd., .4 mi, off Lumpkin Rd., Feather Falls N i T Or- ?0 41P A AA /i Ixt Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. tj Called PG&E I Oe FOB NALED— (Da (Signature) AA /i COUNTY OF BUTTE — DEPARTMtNT-CSF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Con#'d) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping,®_ �— Piers Roofing Sewer m C7G7 — Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final 2--Za Footings Footing ELECTRICAL . Masonry Walls Throat Rou 3c9"% Reinf. Steel Final Fixtures Bond Beam FIR SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh WECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final — DATE REMARKS OR CORRECTIONS FIT MEAEAl R N ®A . 5/7Z i� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIIe, California 95965 r Tel ephope: 534-A541 APPLICATION AND PERMIT dutnunce representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X �CGLC�c. v' • �L/h !tet/ Date 7 Signature of Permitee or AgeennL Receipt No. // -7S [S� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of •the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date -Bpermit expires Date......./.. ../.. y�/T. ,... BUILDING Owner v�i Iff SQ. FT. OCC. BUILDING VALUATION Mailing Address& X /740 Telephone No. Fireplace Contractor1=_Ike Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address w R,4 k7 ki PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N ,_. / zofl n,i 'ng Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe VSa ' ation FireDept. FireZone Use Permit Building sewer 5.00Le EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 �� §' PI n�c'd Parcel Approval Plans Approval Permit Fee $ $ d NEW ❑ ADDITION ❑ UTILITIESO OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional fneters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal ago Receps., switches & fix outlets 2U (0025 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp.or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring Ni am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this nJ permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ dutnunce representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X �CGLC�c. v' • �L/h !tet/ Date 7 Signature of Permitee or AgeennL Receipt No. // -7S [S� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of •the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date -Bpermit expires Date......./.. ../.. y�/T. ,... COUNTY OF BUTTE — QfEP.ARIMENT OF PUBLIC WORKS-� 7 County Center Drive -r— i(Xoville, California 95965 — X � � .� S Telephone: 534-4541 APPLICATIWAND PERMIT autnonze representatives of the county of butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. -3 ,,- - This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I -BuRdin' permit expires Date Date BUILDING Owner 4�, SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor p Total Valuation Mailing Address / ^-- / ` Permit Fee Plan Checking Fee&/or Penalty S U Telephone No, S 3 S4 Permit Fee Building Address C �� — ��/ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 / ' /�'��/',� Each Trap 1.50 _ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — C — / Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fdes WiC: Serri-tatf'OlT- Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 '7 r Main service incl. 1 meter S ( CJ �! r. S r/ is-, Additional meters, each 1.00 Sub-paneI (12 or ss) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b al r,2 10 Re s., switches & fix outlets ' 7 , S G CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: I Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 _ License No. =' '' / Classification if� - "/ Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia., Permit Fee $ $ ! WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ©I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $/ autnonze representatives of the county of butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. -3 ,,- - This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I -BuRdin' permit expires Date Date .r. f.. ,F r COUNTY OF BUTTE — BEPARTMENT OF PUBLIC WORKS C 7 County Center Drive,' —' proville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X X t Date k217-1 r1`9 nature of Permitee or Agent Receipt No. Q White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT R OF PUBLIC WORKS/ By �-�"c� Date g permit expires Date BUILDING Owner ` � —6 41 SQ. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Fireplace Contractor D Total Valuation Mailing Address oc Permit Fee Plan Checking Fee &/or Penalty l Telephone No. Permit Fee Building Address , PLUMBING No. @ FEE PERMIT FILING FEE $3.00 tyAz 100acl Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 o.Gas _Q A. P. No. -'71 Zoning & Planning Zoning & Planning Gaspiping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 F&4 W Fire Dept. Fire Zone Use Permit EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Permit Fee $ Bldg. Plans Recd I Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER19 ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3100 /S ,Ci / S�'Q �� Main service incl. 1 meter 3. d iEC� Additional meters, e h 1.00 Sub -panel (12 or ' ss) (more than 12) � S Single Family EJ Duplex ❑ Mobil Home. ® Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal�R ID Re s., switches & fix outlets ter" a CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of- Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. coo I er, gar. d i sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.��7�f Classification����� �3 % Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee O $ 8 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. . ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. W1 certify that in the performance of the work for which this ��(( K,permit ,is issued I shall not employ any person in any manner so ��btss to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT, FEE $ C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X X t Date k217-1 r1`9 nature of Permitee or Agent Receipt No. Q White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT R OF PUBLIC WORKS/ By �-�"c� Date g permit expires Date Irs FC -16 (1/80) P2ORIGIN LOCATION SEC. TOWNSHU* RANGE E /Q ❑S ❑w 3 ff2IREJ IDENT TYPE ❑FALSE ALARM ❑ il} RESPONSIBILITY (AT ORIGIN) AP IRECTIO FROM ❑IN INATI1 IETC. 4A IRE T PRQT USP,('D.P.R') 46 STATUTORY Ref. STATE ZONE 013 WILDLAND BURNED OR THREATENED Nt\2 SCHEDULE A D.P.R. Yom,.. 03 UNPROTECTED d0Q OTHER AGENCY D.P.R. 1 ORDER NUMBER "— �J" ^ ' s; []COUNTY U.S.F.S. O� OTHER AGENCY D.P.R. (Unincorp) ,(J [] B.L.M. REG. R.U. INCIDENT NO. START MO� DATE YEAR COUNTY O❑ SCHEDULE A O.P.R. FIRE NUMBER []OTHER FEDERAL FIRE NAME: REQ. R%U. NO. thru P2ORIGIN LOCATION SEC. TOWNSHU* RANGE E /Q ❑S ❑w 3 ff2IREJ IDENT TYPE ❑FALSE ALARM ❑ il} RESPONSIBILITY (AT ORIGIN) AP IRECTIO FROM ❑IN INATI1 IETC. 4A IRE T PRQT USP,('D.P.R') 46 STATUTORY Ref. STATE ZONE 013 WILDLAND BURNED OR THREATENED Nt\2 SCHEDULE A D.P.R. RESPONSIBILITY ❑ STATE 03 UNPROTECTED d0Q OTHER AGENCY D.P.R. Numbor Fj DISTRICT n CITY LOCAL ZONE O[] SCHEDULE A D.P.R. of []COUNTY U.S.F.S. O� OTHER AGENCY D.P.R. (Unincorp) 6 [] B.L.M. FEDERAL ZONE O[] FEDERAL(oxcept Military) D.P.R. 71M8ER &/OR ❑ 131A' [] N.P.S. O❑ SCHEDULE A O.P.R. ' []OTHER FEDERAL ® []MISC./OTHER('ZONE') OTHER ,CAUSE (STARTS IN 001&W ONLY) Did not start 1 2 6 or08 ❑ SMOKING ❑ EQUIPMENT ❑ LIGHTNING [J DEBRIS ❑ PLAY W/FIRE ❑ CAMPFIRE ❑ ARSON 'OTHER/MISC. 6 LAND USE(STARTS 1N'o> OROONLY) ❑ Did not start bol2 B oro E]FOREST INDUSTRY f_1DOMESTIC V ❑RECREATION RANCH -FARM ❑OTHER INDUSTRY- COMRCL. ❑ DUMP OWILDLAND [] ROAD ❑NON-WILDLAND ❑ UTILITY, RAILROAD []OTHER n UTILITY, ELECTRIC ./DAMAGE (C 62 <6y)naCa)n�u FOREST, FIRE DIST., CITY & STREET NO., ACRES OF VEGETATION BURNED STATUT, RESPON. ACRES BURNED 4 OF. NO DAMAGE IN Numbor $ DAMAGE (Neareat 100 U.S.P.S. of 1 2&/or 8 6 1002 S OR 8 Veh/Dwlg 71M8ER &/OR W.P.R.S. (Ex -BOR) ' YOUNG GROWTH OTHER 1 WILDLAND VEGETATION TOTAL (Other than T& YG) AGRICULTURAL PROD (Other than T & Y G) DWELLINGS &/OR CONTENTS - US OTHER STRUCTURES &/OR CONTENTS VEHICLES A CONTENTS OTHER y _ TOTAL FOREST, FIRE DIST., CITY & STREET NO., ACRES OF VEGETATION BURNED STATUT, RESPON. ACRES BURNED 4 OF. STATE U.S.P.S. B.L.M. B.LA. i W.P.R.S. (Ex -BOR) OTHER FED. OTHER 1 TOTAL V— .. .1. C. Is . I../E3<!> VEGETATION FIRE ❑ OTHr_R, GO TO t0 SIZE DISTANCE (Origin to head) ACRES I _ FEE WEATHER (ESTIMATE AT SCENE) WIND �61RECTION FROM TEMPERATURE M.P.H. I I op L R PLEASE GDF 7640-130-0}1''' v BUTTE COUNTY DEPUTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT A. P. # Owner:_-, 0/ (/ /` S/E �S /,O Date of Inspection Address: C� (� /y /� /\ Inspector Tenant: t�/7/y 410 �PeIAI eP Building Location. "AIX P-71 W `�TN,�90 FALL5 . Type of Inspection requested: 1. Housing. 2. Financing 3. Change of Occupancy to LLt4. Other (specify) Present use of building A Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating'facilities: 7. Natural light and. ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection. to sewage disposal: 12. Connection to watec'.supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and'roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service lid ground:, 2. Receptac. as: ' 3. Fusing: 4. Cam, ent: s: D. Plumbing 1. Fixtures, connected and vented: 2. Gas water heater: 3. Gas heating vents: 4.. Camments E Other ...I. --Maintenance and repair: 2. Fire hazards:._- 3. Safety hazards:' 4. Weatl!er protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildinjzs 1. Rcof covering:_ 2. Distance to property lines: 3. Physically handicapped: 4. Rest:-oom floors anil walls: 5. Exits: . 6. Improvements: 7. zOVJr'g:_. 8. Comment G. Field Problems or Viola:ior,.s 1. Problem or :violation (give nomplete description) - 2. What action taken (give conij)1ete -Jescription):_ 3. What acLion reemn*ended: 7-7 A. -Infon.-itation only - file / t B. Hold• for ten (10.) days, then wri-e letter. / .1 — /. _.. Wzite latter. T7D. tither: i -c. az .y��ifa,.tL CP Fiis�. �,�.�4y,,� A6044 4".1t*V 04tool